Registered Nurse; RN ICF Group Home

Responsibilities

• Coordinate medical care for assigned individuals, monitor and assess health needs including arranging for follow-up care as needed.
• Assessment by direct observation on consumer health status. Observe observation for signs and symptoms of discomfort, distress or illnesses. Evaluation of physical status changes for exacerbation of existing conditions, onset of disease, and/or responses to care and treatment. Documentation and follow up of all findings.
• Communicate with physicians, families, interdisciplinary team members and clinicians involved in providing services to individuals.
• Communicate and follow up on consumer hospitalizations, emergency room visits, reports of injury, trauma, accidents, illness, distress and other health issues as individually required.
• Accompany individuals on medical appointments when necessary to advocate for and discuss health issues. Communicate with team members as to findings.
• In urgent/emergent situations, you may receive phone calls outside of routine working hours regarding individuals assigned to your caseload.
• Attend meetings with management, staff, families and clinicians to discuss any health related issues regarding consumers served.
• Develop individual specific nursing plans and protocols as needed. Update and revise these documents to reflect changes in consumer status.
• Supervises AMAP administration of prescribed medication and routine treatments in accordance with federal and state regulations and agency policy. Administers STAT medication and treatments as prescribed. Participates in in-services and trains AMAPs as needed. Completed AMAP certification, recertification and decertification processes as necessary.
• Regularly reviews medication administration records (MARs), treatment and adaptive equipment records, logs documenting vital signs, elimination, glucose readings, weight, menses, and other records as individually specified. Reports significant issues to appropriate clinicians and team members, including need for ordering medications, renewing or updating prescription orders and individual specific drug information sheets. Monitor and manage medication storage and disposal procedures in accordance with federal and state law.
• Develop and monitor health goals, nursing plans and protocols that are individual specific. Review, update and revise these documents to ensure they are reflective of current consumer status.
• Monitor consumer dietary and nutritional needs. In-service and support staff in managing special meal and feeding of individuals served. Observe meal times for appropriate food choices, portions, use of adaptive utensils, etc.
• Participate in the
  -re-admission intake review with preparation of a preliminary plan based on available health records.
• Participate in discharge planning meetings, including writing recommendations for referrals to other agencies and follow up on plan of care.
• Write individual progress notes, annual nursing assessments/summaries for each individual. Submit for physician's review and signature as needed.
• Ensure that referrals are made for routine and special medical services, and follows up afterwards to ensure that recommendations and orders are appropriately carried out and managed.
• In compliance with OSHA mandates, monitors infection control, environmental changes and ensures that all guidelines regarding universal precautions are appropriately followed. Order and maintain necessary first aid and medical supplies as needed.
• Review Incident and Medication Error Reports. Provide appropriate follow up action as necessary.
• Participate in program clinical review and other means of evaluation to assure continuous improvement in the quality of care provided for individuals served.

• Must be currently licensed as a registered professional nurse (RN) in New York State.